Organization
R. BEN HARDY, DMD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT BENJAMIN HARDY DMD (OWNER)
(706) 736-1135
Entity
Organization
Contact information
Practice address
2825 WASHINGTON RD, SUITE M2, AUGUSTA, GA 30909-2119
(706) 736-1135
(706) 736-1186
Mailing address
2825 WASHINGTON RD, SUITE M2, AUGUSTA, GA 30909-2119
(706) 736-1135
(706) 736-1186
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN012913
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZAG974
—
SC
Enumeration date
02/22/2007
Last updated
08/22/2020
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